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SAN JOAQUIN COUNTY <br /> Z. ? ENVIRONMENTAL HEALTH DEPARTMENT <br /> N: a <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> r... -- Telephone:(209)468-3420 Fax:(209) 464-0138 Web:www.sigov.org/ehd <br /> 9ciFoaN <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: - Date: Z 2 <br /> Address: UAL City: ZIP Code: 35-1 <br /> Owner/Operator <br /> - <br /> ner/Operator: Telephone: <br /> Program Element: Progra ecord: 54 17-3 3 Inspection Type: - 1 <br /> LA <br /> SB180 Posted Yes No Permit Posted Yes No Re-Inspection on or After: <br /> OBSERV&IIONS AIR&WRECTjYJACTIONS <br /> t <br /> 2 <br /> " ure1m/Location <br /> 17 1N - <br /> sleataw)6e" <br /> nDate _ Facility Hot Water Temperature Warewashing <br /> 7: ­_ <br /> Saleale Hand Sink: I �. of Chlorine: � ppmHeat: ofI(}, arewashing Sink: Ztn �F Duat.Amm.: ppm they: =p <br /> Received By/Title: T <br /> EH Specialist: r4l^�4 <br /> �-1.4 Phone: -2-0 9--et ^3 O f 2— <br /> !me <br /> ime In: Vr , Time Out: 4z <br /> Page of <br /> EHD 16-24 (2^ pg) 4PNI3 FOOD PROGRAM OIR CONTINUATION <br />